Provider: Delta Dental
Toll Free: 1-800-234-3375
Visit www.deltadentalks.com to:
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Check your eligibility and plan information |
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Print yourself an ID card |
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Check claim status |
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Locate a participating DeltaPremier dentist anywhere in the United States |
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Estimate your out-of-pocket dental care costs with the Flexible Spending Account Estimator |
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Learn about oral health and wellness |
Quick Facts
Benefit |
DIAGNOSTIC & PREVENTIVE (Not subject to deductible) |
50% |
Diagnostic (exams and x-rays) |
50% |
Preventive (cleanings, fluoride, space maintainers and sealants) |
|
BASIC (Not subject to deductible)
|
50% |
Ancillary (one emergency exam per year for relief of pain) |
50% |
Oral Surgery (extractions and other oral surgery including anesthesia, pre and post-operative care) |
50% |
Regular Restorative (amalgram andcomposite resin restorations and stainless steel crowns for dependents under 12) |
50% |
Endodontics (root canal treatments and root canal fillings) |
50% |
Periodontics (treatment of the gums) |
|
MAJOR (Not subject to deductible)
|
50% |
Special Restorative (individual permanent crowns) |
50% |
Prosthodontics (bridges, partial and complete dentures, including repairs and adjustments) |
|
ORTHODONTICS (Not subject to deductible)
|
None |
Orthodontic appliances and treatment |
View Summary of Benefits
Monthly Premiums
Employee |
$18.60 |
Employee + Child(ren) |
$33.84 |
Employee + Spouse |
$38.92 |
Family |
$59.95 |
